Controversies Surrounding Quality Measurement in Colon and Rectal Surgery

Abstract Quality improvement in health care has become a major topic of discussion among health care providers, patients, insurance companies, and the government. National Surgical Quality Improvement Project (NSQIP), along with a multitude of other programs, exists in an attempt to create objective...

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Published inClinics in colon and rectal surgery Vol. 27; no. 1; pp. 026 - 031
Main Authors O'Brien, Brendan S., McNally, Michael P., Duncan, James E.
Format Journal Article
LanguageEnglish
Published 333 Seventh Avenue, New York, NY 10001, USA Thieme Medical Publishers 01.03.2014
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Abstract Abstract Quality improvement in health care has become a major topic of discussion among health care providers, patients, insurance companies, and the government. National Surgical Quality Improvement Project (NSQIP), along with a multitude of other programs, exists in an attempt to create objective data that can be used to compare hospitals and providers against a national average. Studies have shown that despite good patient care and proper surgical technique, patients who undergo procedures such as colectomy have a higher incidence of surgical site infection (SSI) and other morbidities. Therefore, hospitals with a large volume of colon and rectal surgery cases are routinely identified as “high outliers” in these quality improvement programs. Programs, such as NSQIP, may not be the best way to measure quality in specific subspecialties such as colon and rectal surgery.
AbstractList Quality improvement in health care has become a major topic of discussion among health care providers, patients, insurance companies, and the government. National Surgical Quality Improvement Project (NSQIP), along with a multitude of other programs, exists in an attempt to create objective data that can be used to compare hospitals and providers against a national average. Studies have shown that despite good patient care and proper surgical technique, patients who undergo procedures such as colectomy have a higher incidence of surgical site infection (SSI) and other morbidities. Therefore, hospitals with a large volume of colon and rectal surgery cases are routinely identified as “high outliers” in these quality improvement programs. Programs, such as NSQIP, may not be the best way to measure quality in specific subspecialties such as colon and rectal surgery.
Abstract Quality improvement in health care has become a major topic of discussion among health care providers, patients, insurance companies, and the government. National Surgical Quality Improvement Project (NSQIP), along with a multitude of other programs, exists in an attempt to create objective data that can be used to compare hospitals and providers against a national average. Studies have shown that despite good patient care and proper surgical technique, patients who undergo procedures such as colectomy have a higher incidence of surgical site infection (SSI) and other morbidities. Therefore, hospitals with a large volume of colon and rectal surgery cases are routinely identified as “high outliers” in these quality improvement programs. Programs, such as NSQIP, may not be the best way to measure quality in specific subspecialties such as colon and rectal surgery.
Author McNally, Michael P.
Duncan, James E.
O'Brien, Brendan S.
AuthorAffiliation 1 Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland
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References 23582762 - J Surg Res. 2013 Sep;184(1):150-6
18847652 - Surgery. 2008 Oct;144(4):662-7; discussion 662-7
17544087 - J Am Coll Surg. 2007 Jun;204(6):1293-300
17060769 - Ann Surg. 2006 Nov;244(5):758-63
23583617 - J Am Coll Surg. 2013 Jun;216(6):1150-8
21945417 - J Am Coll Surg. 2011 Dec;213(6):784-92
15886180 - Health Aff (Millwood). 2005 May-Jun;24(3):843-53
18954782 - J Am Coll Surg. 2008 Nov;207(5):698-704
19333034 - Dis Colon Rectum. 2009 Mar;52(3):374-9
21470879 - J Am Coll Surg. 2011 Jun;212(6):1077-85
18650645 - Ann Surg. 2008 Aug;248(2):329-36
20571014 - JAMA. 2010 Jun 23;303(24):2479-85
20846884 - J Am Coll Surg. 2010 Dec;211(6):715-23
23575404 - Dis Colon Rectum. 2013 May;56(5):638-44
21109157 - J Am Coll Surg. 2010 Dec;211(6):705-14
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Title Controversies Surrounding Quality Measurement in Colon and Rectal Surgery
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